Application of Discharge Planning Model in Respiratory Department_West China Medical Journal

Authors：

 FENGMei , ZHANGTing-ting , XIELi ,  ZHUJing

Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

ZHUJing, Email: zhu-jing2008@163.com

Keywords：

Discharge planning model; Constant care; Patients' satisfaction

DOI：

10.7507/1002-0179.20150661

Video：

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Objective To explore the application of discharge planning model in Respiratory Department. Method We developed discharge planning model in the Respiratory Department and performed standardized management on inpatients by assessing, planning, implementing and following up the whole process. A total of 716 discharged patients before the implementation of the planning model (January to March 2014) were designated as the control group, and 739 discharged patients after the model implementation (April to June 2014) were regarded as the observation group. Then, we compared such indexes as the rate of discharge planning, average length of hospital stay, retention rate of discharged patients, the number of new hospital admissions and medical orders during the time of weak nurse strength, and inpatient satisfaction before and after the model implementation. Results After implementation of discharge planning model, all observed indicators were significantly better in the observation group (P<0.05). Conclusions Implementation of discharge planning model can effectively promote physician-nurse cooperation, plan health guidance for discharged patients, make them be ready to return to society and family, improve patients' satisfaction, and achieve the aim of patient-oriented high quality care. Meanwhile, it also can shorten the average length of hospital stay, reduce orders during the time of weak strength. It can not only ensure the ward medical indexes, but is helpful to manage nursing schedule.

Citation： FENGMei, ZHANGTing-ting, XIELi, ZHUJing. Application of Discharge Planning Model in Respiratory Department. West China Medical Journal, 2015, 30(12): 2311-2314. doi: 10.7507/1002-0179.20150661 Copy

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1. 陳琴, 姜小鷹. 出院計劃模式的研究進展[J]. 護理研究, 2011, 25(13):1137-1140.
2. 于浩, 姜小鷹, 邱小雪, 等. 護士對出院計劃模式的認知[J]. 中華護理教育, 2010, 7(6):243-245.
3. 唐麗, 李建軍, 高峰, 等. 出院計劃的國際實施進展及認識[J]. 中國康復理論與實踐, 2015, 21(6):634-641.
4. 黃天雯, 張小燕, 成守珍, 等. 試論適合城市社區發展的老年慢性疾病患者出院后照護模式的構建[J]. 中國實用護理雜志, 2009, 25(10):51-53.
5. Mcmartin K. Discharge planning in chronic conditions:an evidence-based analysis[J]. Ont Health Technol Assess Ser, 2013, 13(4):1-72.
6. 陳琴, 姜小鷹, 鐘清玲, 等. 慢性阻塞性肺疾病患者應用出院計劃服務的效果評價[J]. 中華護理雜志, 2012, 47(9):790-794.
7. 盧玨, 薛小玲, 趙雪萍, 等. 出院計劃在腦卒中患者照顧者中的應用[J]. 中華現代護理雜志, 2012, 18(30):3610-3612.
8. 馬曉衡, 李燕. 發展中的社區衛生服務現狀分析探究[J]. 中國醫藥導報, 2013, 10(27):151-153.
9. 中華人民共和國衛生部. 中國護理事業發展規劃綱要(2011-2015年)[EB/OL]. (2011-12-31)[2012-02-17]. http://www.nhfpc.gov.cn/yzygj/s3593/201201/5d494a1dd2104029878f01dc2568be04.shtml.
10. 李建軍, 唐麗, 高峰, 等. 我國出院計劃的現狀及思考[J]. 中國康復理論與實踐, 2015, 21(6):628-633.
11. 盧玨, 薛小玲. 出院計劃的研究進展[J]. 中華護理雜志, 2014, 49(6):709.
12. 湯維娟. 上海市癌癥病人連續性照護模式的構建[D]. 上海:第二軍醫大學, 2011.
13. 董廣翠, 楊霞. 出院計劃在我國慢性疾病患者護理中的應用研究現狀[J]. 中國護理管理, 2015, 15(7):884.
14. 陳琴, 姜小鷹, 鐘清玲, 等. 出院計劃模式對慢性阻塞性肺疾病患者自我效能的影響[J]. 護士進修雜志, 2012, 27(12):1126-1129.
15. 陳茜, 鐘文逸, 郭菊紅. 老年患者反復住院治療且擇同一病房原因調查[J]. 華西醫學, 2010, 25(10):1918.

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Application of Discharge Planning Model in Respiratory Department

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